What's Cookin' with Diabetes Workshop Registration

October 13, 2009

Hoyt Community Center
900 Park Drive
Hoyt, KS 66440

* All fields are required unless noted.
First name:
Last name:
Address:
City:
State:
Phone:
Will you be bringing a guest?
Guest name:
Would you like to receive a reminder via e-mail? E-mail address:
Are you a Blue Cross and Blue Shield of Kansas member?
 

If you have any trouble making your reservation, please call:

Meadowlark Extension Agent
(785) 364-4125